Breastfeeding

Mother's milk
Feeding babies in the first year of life, breast milk is a natural feeding. Breastfeeding is the best way of feeding infants, because breast milk - is not only useful for the baby food product, containing all necessary for normal development of the child components: proteins, fats, carbohydrates. The most important thing in the natural feeding - the unique biological properties of breast milk that are not even in the most advanced milk formula intended for artificial feeding.
Biologically active substances, immunoglobulins breast milk are beneficial to the formation of the immunity of the child, including the maintenance of resistance to infections, the normal course of metabolic processes. Breast milk contains factors that promote colonization of the gastrointestinal tract of the child useful microorganisms and prevent the reproduction of pathogenic bacteria. Children who are breastfed, less often suffer not only intestinal but also acute respiratory infections.
Furthermore, when the mother is breastfeeding, it is beneficial to her psychological state and health, in particular, helps prevent mastitis and reduce the risk of developing breast cancer and ovarian cancer later on.
All this leaves no doubt in the advantages of breastfeeding, when it comes to normal milk of healthy women and its good tolerability of the child. Nevertheless, in everyday pediatric practice, often there are situations when a physician before the question of retention or abolition of breast-feeding when breast milk are found in some bacteria.
There are three interrelated criteria of the adequacy of breastfeeding:
1. Increase in weight of the child is not less than 600 g on average for 1 month (counting from the birth weight).
2. The interval between feedings is not less than 2.5 hours
3. Number eaten baby breast milk meets the needs of: 1 / 5 of the real weight - up to 1 month, 1 / 6 - 1 / 7 of the real weight of up to 5 - 6 months. Number of meals eaten by a child can learn, spending weighed, not once, but during the day (and preferably several days in a row).
If all these criteria are consistent with the above normal, the child adequate food, and up to 4 - 5 months to such a child does not want to change the diet (lactation aid and introduce solid foods).

First feeding
Thus, the child was born. Here are just right. And yet even the umbilical cord is not cut off. What can and should do at this moment for the future health of your child? It's very simple - attach the child to her breast to the nipple, the child could, or at least attempted to suck her breast. Try to feed him colostrum. (Colostrum - is something that stands out from the nipple until the arrival of milk). It is important to give this process a sufficient amount of time. Approximately 30 minutes. There is no point in applying the sham and the child to the breast for 5 minutes or less.
In the first days of life of the mother, as a rule, no milk. There is only colostrum. Many people, including doctors and midwives, it introduces the temptation to give the baby feeds, feed the child because "he was hungry!". This is a big mistake. Many maternity hospitals of the world it is not.
It is important to remember that if the child is healthy, if the doctor believes that he can safely stay around the clock with his mother, the child can and should be fed only colostrum and calmly wait till the milk. You can wait for 3-4 days. And in these days nothing but water and colostrum child not to give.
The first three or four days a child can only exist through the colostrum, but at the expense of body fat, and quite calmly, without harm to health, can wait until my mother will milk. Ie the first thing you do while you are in hospital - to a child in a month, two, three, did not appear atopic dermatitis - not finish feeding him a mixture. Only colostrum and water.
Reference
Usually for the description of skin redness, spots and other skin eruptions on the skin of parents use the term "diathesis" or "allergy". Let us agree, dear parents, called allergic manifestations of true allergic rash, and diathesis and all other eruptions, not related to allergies or infectious diseases - atopic dermatitis.
Sometimes this is difficult to convince not only mothers, but also the doctors. But if the child is with you, it's simple - you do not give the mixture, and ask for water and the water fed to the baby, and quietly wait until you turn into colostrum milk. And to milk appeared rather puts the baby to breast as often as possible. This will benefit not only to stimulate lactation, but also in terms of protecting the child, the child of intestinal pathogens. The fact that colostrum is a large number of immunoglobulins that are in breast milk, but to a lesser extent, the problem which protect people from viruses and bacteria.
Why, in fact, no need to lure a child in hospital with a mixture? The example of this issue, you can create an algorithm that in the future will help to understand why the child is or how to prevent atopic dermatitis. And this is the most common abnormality, occurring in one year of age.
The fact is that when a child is born, it alimentary yet nothing was digesting, he did not act (or intestines are not working, neither enzyme was not). And so the child immediately after birth, genetically capable of digesting only colostrum and then breast milk.
When you give him first 5 ml, 10 ml of colostrum, then 15 ml, you will gradually train your child's intestines. As in the gym dumbbells of different weight, low weight at first, then great, you train the muscles, and then at first small, then large amounts of food you train the gastrointestinal tract and the enzymatic system of the child. The more food than it is thicker, the greater the need to exert effort, the more necessary enzymes to digest food.
Therefore, when the child gradually comes into being with the colostrum and water, it does not happen disruption of the pancreas, which most often are the cause of atopic dermatitis (85% of cases). Ie often in children up to the year atopic dermatitis associated with improper introduction of complementary foods, as well as the introduction of the mixture immediately after birth, with early introduction of the mixture.
In what position is best to keep the child after breastfeeding? Of course, "a column. Keep the child "whisker" is any situation in which the child's mouth will be higher than his stomach. It should not be a load on the spine. Keep a column - which means to make sure that the baby's head is above his abdomen. For example, you can sit in a chair at an angle of 45 degrees and put the child in themselves - it will also be a column.
If you hold your baby upright, especially holding it with a priest, then the entire burden fall on the spine, you instruct the child in such a way to sit. As if you did not cuddle with it, anyway - was forced to sit. Therefore, if you want to carry a child, then just put his shoulder belt over his shoulder, he would hang his head, and you will carry it. But at the same load on the spine will not. The load on the spine is possible only when the child begins to sit independently, for example, with a 4-month period. Ie he begins to want to sit down, you really want to help him, but as long as the child himself did not sit down, you do not in any pillows do not get arrested. When the child sits down himself, not swamping while, then there can be kept under the priest. No need to force him to sit down, because then there might be problems with the spine.

Testing is not sterile
Mother, or in his absence, the donor milk, preferably 1 time in 3 - 4 months to check for sterility (microbiological purity of determining microbial sensitivity to antibiotics and bacteriophages), not to feed the microbes and the child not be subjected to additional risk.
To check the microbiological sterility of the milk, and breastfeeding women need to pass it on bacteriological sowing. Fence milk for this analysis is carried out in a sterile tube. Woman in front of pumping milk, washes his hands thoroughly with soap and water, as well as the areola area and wiped with a clean towel. It is also desirable to process the nipple areola alcohol. The first portion of milk (approximately 5-10 ml) decant past. For sowing is taken subsequent portion of milk in quantity of 5-10 ml. Samples were taken from each breast in a separate tube. Analysis is done for about a week, because it takes time to bacteria grown on special media, or may be an error as a result of the study.
Among the bacteria, which can be detected in breast milk, there are harmless microbes (such bacteria are enterococci, epidermal staphylococci in small quantities), and pathogenic microbes, which in breast milk should not be - Staphylococcus aureus, hemolytic E. coli, Klebsiella, fungi Candida and some others.
Bad bacteria can enter the breast through the microcracks skin breast. The skin is impervious to most microbes, but breastfeeding is inevitably a small trauma very delicate skin and the nipple areola. Formed microcracks are not visible to the naked eye and do not cause ill effects in breastfeeding women. But the bacteria can penetrate through these cracks into the mammary gland.
In most cases, when "dirty" milk is not advisable to interrupt breast-feeding. The presence of microbes in the milk is always "not good" for the child. The physician must weigh whether the benefits of breast milk is higher than the harm of bad bacteria in the milk. Usually, if there are no signs of mastitis, the doctor decides to continue breastfeeding, while appointing a mother pursuing a course of treatment and prevention of dysbacteriosis child. You can often avoid the use of antibiotics for the treatment of mother, preferring tonic, bacteriophages and plant antiseptic (such as hlorofillipta and rotokan). Treating Mom includes external and internal use of these funds. If such treatment has a chance to be ineffective, the physician may appoint such antibiotics, which can be given in lactation.
In order for an antibiotic that will treat the mother without harming the baby, whom she will continue to feed, you should first choose an antibiotic from a special "authorized" list (ampicillin, penicillin, oxacillin, etc.) and secondly to designate the child preventive health care from dysbacteriosis, which may occur from the use of antibiotics and are unlikely to appear, if combined with a mother's child will receive antibiotic drugs such as Bifidumbacterin, Lactobacterin, primadofilyusa when these drugs provide little boy, then dysbacteriosis of antibiotics to him almost not at risk. A lift breast milk - this is the last thing.
Breastfeeding women are advised to make the analysis of milk on the "sterile", but it does not stop breastfeeding if found in breast milk of microbes, and seek medical attention for the purpose of treatment. In this case, you can continue to breastfeed, and the benefits of breast milk would exceed the harm from the bad microbes that as a result of the impact of drugs will soon disappear.
Cessation of breastfeeding is required only if purulent mastitis.

Eruptions on the skin of the baby and mother's poor nutrition
When a breastfeeding mother believes that certain manifestations, such as skin rash or red priest, are the cause of allergies, it begins to exclude products from their diet. This is fundamentally wrong. The point is that when you eat something not what it might contain molecules that your child still can not digest. Ie you have something you give your child (eating, like garlic, chocolate, or sweet rolls), with its milk, that he still can not digest, this had a rash, dysbiosis, red pop and stuff. But it is not associated with allergies - is a consequence of the imperfection of the baby's digestive tract.
If you want to eat something you do not, for example, chocolate, red caviar, but do not want the child sprinkled. What? The algorithm acts as follows. For example, you are very much like to oranges, but you know that this food is unsafe for the child (the safe is only a "rustic" food, ie foods you and your grandparents ate continuously, potatoes, carrots, oatmeal etc.), then you take poldolki orange, instead of the whole and eat. And it will help. Only need to eat properly, savoring, without hurrying. If you ate half of the slices, then to your child got "one molecule, and it is the very least split its own enzymes. The next day you ate lobule. It is clear that the next day, when a child gets a double dose, it can split it and digest without consequences, too, because organism train. Thus, slowly increasing the dosage of something wrong in your diet, you can have, for example, oranges in large quantities and the child will be nothing. But if you just eat a whole orange, then the child can sprinkle.
Another situation. For instance, you ate a green apple, and your child on these apples do not have the enzymes, and it sprinkled. You cancel for a green apple, waiting for a week and monitor the baby. If the child is calmed down, a rash has disappeared (as a child have their own mechanisms of self), then you continue to live as they lived, thus eliminating the apples at a time - for a month or two months, six months. Six months later, you can safely eat these apples and feed their child, because during this time the child gets older, will develop their own organs and systems, will increase the amount of enzyme. This happens as inevitable as the growth or weight gain.

By Dr. Andrey L.Sokolov, Dr. Yury A.Kopoanev